Disputing contraception: Muslim reform, secular change and fertility

In South Asia, Muslim reformers have often attempted to 'rationalize' and gentrify the everyday behaviour of ordinary Muslims. Yet, despite the existence of discussions of contraceptive techniques in the yūnān-ī tibb curricula of 19th century India and the apparent affinity between rationalism and fertility regulation, contraception was rarely discussed in public debates involving Muslim reformers. In this paper we discuss some of the relationships between élite debates among Muslim leaders and the grassroots behaviour of villagers in rural Bijnor, in western Uttar Pradesh. Villagers' voices are ambiguous, with fears for mother and child health surfacing as often as concerns for religious orthodoxy and one's destiny in the afterlife. In addition, many of the villagers' views of Islam were much more restrictive than those of the locally accepted authoritative voices: although the staff at Daru'l 'Ulūm, Deoband, saw much modern contraception as an unwelcome sign of modernity, their discussions of the acceptability of family planning circled round notions of majbūrī (compulsion), repentance, and the unfathomable mercy of Allah. We conclude that focusing on local notions of Islam to understand the fertility behaviour of rural Muslims is less fruitful than considering a "political economy of hopelessness" that, increasingly since 1947, affects many Muslims in north India

Health and the state in India

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Health policy and federalism in India

This paper addresses the question of how the position of Indian states in terms of their approach to welfare state policies interacts with the centre–state relationships that characterize health policymaking. In India’s version of federalism, health policymaking has been influenced by four mutually interacting sources: international public health discourses; Indian government programmes and policies; civil society organizations concerned with health; and the political economy of the different states and their associated political regimes. Public health issues sometimes achieve a high policy profile at the government of India, but very rarely do so at state level. This divergence provides fertile spaces for negotiation and conflict. An analysis of the path dependency of the allocation of health functions to different national and subnational levels of government contextualizes a case study of the National Rural Health Mission (NRHM), 2004–14. This shows the limits to the central government’s ability to implement a universalizing, rights-based programme across the country. An explanation for the different outcomes can be found in the variety of state systems within the country. Finally, the paper assesses whether the changes introduced since 2014 show a new federal order in the making and provides preliminary insights from state responses to the 2020 Covid-19 outbreak

Women who qualified as doctors in the United Kingdom, 1877-1914:Birthplaces, parentage, and training

This paper uses a newly created database of all women who gained a qualification registrable with the General Medical Council between 1877 and 1914 to answer the following questions. Where and when were they born, where were their parents born and where did they train? The paper shows that women doctors born in Scotland or of Scotland-born parentage formed a much higher proportion of the population of that country than those born in England and Wales, or in Ireland. In addition, Scotland trained a disproportionately higher share of those trained in the United Kingdom. Odds ratios are used to establish the significance of this picture. Some provisional ideas are advanced towards an explanation of these findings

Schooling, transitions and reproductive citizenship for poor people in urban and rural north India: preliminary results from Alwar and Dewas

Exactly how schooling affects young women's 'autonomy', especially with respect to her fertility and the life-chances of her children, is a contested issue. We draw on semi-structured interviews with young married women with at least one child under the age of six, in urban and rural areas of Rajasthan and Madhya Pradesh, north India, to elaborate differences in attitudes and experiences in early married life between young married women with at least eight years of schooling and those with little or no formal schooling. All the women in our sample come from India’s most disadvantaged social groups—Scheduled or Other Backward Castes—and live in disadvantaged communities. Tentative conclusions include that women with 10 years or more schooling have very different aspirations about their life partner and married life, and are better able to negotiate relationships with their mother-in-law than do the women with little or no formal schooling experience